Iva Wanozivikanwa Asi Unonzwisisa pamusoro peRare Syndrome
Overview
Kuvakwa kwemakemikari serotonin mumuviri kunogona kukonzera chirwere chinouraya chinonzi serotonin syndrome. Iyi syndrome haishamisi asi inonyanya kuitika apo murwere anotora cocktail yemishonga inowedzera serotonin, se triptan yemigraine yavo uye antidipressant nokuda kwekuora mwoyo kwavo - zvose zvinoita kuti kuwedzere mazinga e serotonin muuropi.
Hazvizivikanwi kuti nei vamwe vanhu vachikurira serotonin syndrome uye vamwe havasi pavanotora mabiko mamwechete emishonga. Saizvozvowo, hazvisi pachena kuti nei vamwe vanhu vachikudziridza hunyoro hushoma hweSerotonin syndrome uye vamwe vanoita fomu yakakomba iyo inopisa upenyu.
Pane nzira nhatu iyo serotonin syndrome inogona kuitika:
- Kushandiswa kwemishonga mbiri kana kupfuura serotonergic (zvinoreva mishonga inowedzera serotonin mazinga)
- Kuwedzeredza kwechimwe serotonergic mishonga
- Kuwedzerwa chirwere chemazuva ano serotonergic mishonga
Zviratidzo nezviratidzo
Zviratidzo zveSerotonin syndrome zvinowanzosiyana uye zvinogona kusanganisira:
- Kusagadzikana
- Diarrhea
- Sweating
- Fever
- Kuoma nekutarisana
- Kusanganiswa
- Fever
- Kudzora
- High blood pressure uye fast rate rate
- Kunyunyuta Kutaura
Pakuongorora kwemuviri, kana chiremba wako achifungira serotonin syndrome, anogona kutarisa zviratidzo izvi:
- Zvinokanganisa mafungiro (hyperreflexia)
- Kubata kunobatsira kwemusero (myoclonus)
- Dilated vadzidzi (mydriasis)
Kazhinji kuwanikwa kweserotonin syndrome inowanikwa mumatambudziko akakura kunosanganisira:
- Kuputsika kwemisumbu
- Kugumburwa
- Kuora kweiyo
- Kuporesa (kufema) kukundikana
- Rufu
Associated Medications
Kune mishonga yakawanda yemigraine yakabatana inogona kukonzera serotonin syndrome. Izvi zvinosanganisira antiemetic Reglan (metoclopramide) nemishonga yakaoma migraine, yakafanana ne triptans uye dihydroergotamines.
Mimwe mishonga inodzivirira migraine , kufanana ne-valproic acid uye anti-depressants, sekusarudza serotonin reuptake inhibitors (SSRIs), serotonin-norepinephrine reuptake inhibitors (SNRIs), uye tricyclic zvinodzvinyirira, zvinogonawo kutungamirira serotonin syndrome.
Mimwe mishonga inosanganisira chirwere chinonzi reliefver reliefver Tramadol (Ultram) kana musuru inoputika cyclobenzaprine (Flexeril). Zvimwe zvinodhaka zvisina kukodzera mishonga (cocaine), zvinowedzera (St. John's wort), uye mishonga yemvura inotonhora (sext dextromethorphan - inozivikanwa saRobitussin) inogonawo kutungamirira kune chirwere ichi chisingaoneki.
Kudzivirira
Iva nechokwadi kuti chiremba wako anoziva mishonga yako yose kusanganisira chero kupfuura-the-counter, vitamine, uye zvinowedzera. Nenzira iyi chiremba wako anogona kudzivisa kuisa iwe mishonga yakawanda ye-serotonin-inowedzera mishonga, kana kuti kukuraira pazviratidzo kana uri kutora mishonga inopfuura imwe inowedzera serotonin mazinga.
Mukuwedzera, serotonin syndrome inowanzoitika mukati mezuva rimwe yekuwedzera mushonga wemishonga kana kuwedzera pamishonga inowedzera serotonin. Bvunza chiremba wako pakarepo kana iwe usiri kunzwa zvakanaka kana unonetseka nezve serotonin syndrome.
Kurapa
Mashoko akanaka ndeokuti vazhinji vezviitiko zveSerotonin syndrome vane unyoro uye vanogadzirisa nekumira mishonga inokonzerwa nemhosva.
Mune zvimwe zviitiko zvakakomba, hospitali inotarisirwa.
The Bottom Line
Simba rakasimba serotonin rinowedzera mumutumbi rinoita kuti rive rakanakisisa kune chinangwa chemishonga yakawanda. Nezvo zvakadaro, inouya pangozi. Sezvo muzvinhu zvose, kuenzanisa ndiko kunokosha pano. Usarega kutya kwechirwere ichi kuchimisa iwe kubva kunwa mishonga inogona kukubatsira. Pane kudaro, ramba wakangwarira uye unonzwisisa nekukurukura zvakanaka nachiremba wako nekupa chero zviratidzo zvitsva.
Sources
Ables AZ. Kudzivirira, Kuongororwa, uye Kutungamirirwa kweSerotonin Syndrome. Ndiye Chiremba weNzara. 2010 May 1; 81 (9): 1139-42.
Mohammad-Zadeh LF, Moses L, & Gwaltney-Brant SM. Serotonin: kuongorora. J Vet Pharmacol Ther. 2008 Jun; 31 (3): 187-99.
Volpi-Abadie J & Kaye AD. Serotonin Syndrome. Ochsner J. 2013 Winter; 13 (4): 533-40.
ZVINOKUDZIDZA: Nzvimbo iyi ndeyekutarisa zvinongoratidzwa chete. Icho hachifaniri kushandiswa sechinzvimbo chekuchengetedza iwe pachako nechiremba ane chiremba. Ndapota ona chiremba wako kuti aongororwe uye kurapwa chero kupi zvako pamusoro pezviratidzo kana chirwere chechiremba .